| NPI | 1881940344 |
|---|---|
| Former Name | TISH TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2016-02-26 |